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目的探讨用国产鱼肝油酸钠自制泡沫硬化剂治疗下肢静脉曲张的临床效果。方法选择河南开封市第一人民医院30例(39条患肢)下肢静脉曲张患者,对其进行透视引导下曲张隐静脉注射自制鱼肝油酸钠泡沫硬化剂,观察大隐静脉的闭合情况。结果 39条患肢均成功注射泡沫硬化剂,平均每条患肢使用5.9 ml泡沫硬化剂。35条(90%)大隐静脉治疗后即刻可见反流消失,3个月后随访血管超声示大隐静脉闭塞,无严重并发症发生。结论透视引导下自制鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张的临床效果满意,是微创治疗下肢静脉曲张的方法。
Objective To investigate the clinical efficacy of home-made foaming sclerostin in the treatment of varicose veins of lower extremities. Methods Thirty patients (39 limbs) with varicose veins in the First People’s Hospital of Kaifeng City, Henan Province were enrolled in this study. Under the guidance of fluoroscopy, varicose vein was injected with homemade cod liver cirrhosis foam sclerotherapy to observe the closure of saphenous vein. RESULTS All of the 39 limbs received foam sclerotherapy successfully, with an average of 5.9 ml of foam sclerotherapy per limb. Thirty-five (90%) saphenous veins disappeared immediately after treatment, and 3-month follow-up of vascular saphenous vein occlusion showed no serious complications. Conclusion The clinical efficacy of self-made sodium codfamine sclerotherapy for varicose veins under the guidance of fluoroscopy is satisfactory. It is a minimally invasive treatment for varicose veins of the lower extremities.